A Study on Socio Demographic and Associated Risk Factors for Cancer Patients in Private Cancer Hospital, Bangalore, India

AbstractTo evaluate the prognostic factors in adult cancer patients with pneumococcal bacteremia, describe episode features and the phenotypic characteristics of the isolated strains. We evaluated the episodes in patients admitted to a cancer hospital between 2009 and 2015. The outcomes were defined as 48 h mortality and mortality within 10 days after the episode. The variables evaluated were: age, sex, ethnicity, ECOG, Karnofsky score, SOFA, cancer type, metastasis, chemotherapy, radiotherapy, neutropenia, previous antibiotic therapy, community or healthcare-acquired infection, comorbidities, smoking, pneumococcal vaccination, infection site, presence of fever, polymicrobial infection, antimicrobial susceptibility, serotype and treatment. 165 episodes were detected in 161 patients. The mean age was 61.3 years; solid tumors were the most prevalent (75%). 48 h and 10-day mortality were 21% (34/161) and 43% (70/161) respectively. The 48 h mortality- associated risk factors were SOFA and polymicrobial bacteremia; 10-day mortality-associated risk factors were fever, neutropenia, ECOG 3/4, SOFA and fluoroquinolones as a protective factor. Pneumococcal bacteremia presented high mortality in cancer patients, with prognosis related to intrinsic host factors and infection episodes features. Fluoroquinolone treatment, a protective factor in 10-day mortality, has potential use for IPDs and severe community-acquired pneumonia in cancer patients.

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Pre-COVID-19 food insecurity prevalence and risk factors in caregivers of pediatric cancer patients at a children’s cancer hospital.

Journal of Clinical Oncology ◽

10.1200/jco.2020.38.29_suppl.205 ◽

2020 ◽

Vol 38 (29_suppl) ◽

pp. 205-205

Author(s):

Stephanie J. Wells ◽

Brandon Douglas Brown ◽

Kris Michael Mahadeo ◽

Keri L. Schadler ◽

Joya Chandra ◽

...

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Food Insecurity ◽

Cancer Patients ◽

Pediatric Cancer ◽

Clinical Pathways ◽

Education Level ◽

Cancer Hospital ◽

Pediatric Cancer Patients ◽

The Impact

205 Background: Food insecurity (FI) affects 1 in 5 US households with children and is associated with malnutrition and poor diet quality in children. Malnutrition negatively impacts clinical trial outcomes, chemotherapy tolerance, and survival rate in cancer patients, who may be at higher FI risk given the financial toxicity of treatment. Thus, we aimed to assess FI prevalence and sociodemographics of pediatric patient caregivers at MD Anderson Cancer Center Children’s Cancer Hospital (MDACC-CCH) and to identify healthcare provider sociodemographics and FI practice considerations. Methods: We surveyed caregivers and providers at MDACC-CCH anonymously from December 2019 to January 2020. Caregiver surveys included sociodemographics and The Hunger Vital Sign FI screening tool. Oncologists and other providers were surveyed on FI-related practice considerations. Univariate relationships between known covariates and FI were explored using purposeful covariate selection and multivariable logistic regression to model variables associated with FI risk factors. Results: Baseline characteristics are listed in Table. Of 67 caregiver responses, 36% were positive for FI. Univariate analyses revealed that race, education level, spousal/child support, marital status, and household income were associated with FI status. Final logistic regression model indicated that race other than Non-Hispanic White and lower education level were positively associated with FI. Of 38 provider responses, 58% reported being knowledgeable about FI to some extent. No providers referred patients to community food access resources. Conclusions: In a small pilot study, FI is prevalent in families of pediatric cancer patients at MDACC-CCH and may be associated with race and education level. Further research is needed to assess the impact of the COVID-19 pandemic on FI in this population and to determine appropriate interventions and clinical pathways to improve FI status. [Table: see text]

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Covid-19 transmission, outcome and associated risk factors in cancer patients at the first month of the pandemic in a Spanish hospital in Madrid

Clinical & Translational Oncology ◽

10.1007/s12094-020-02381-z ◽

2020 ◽

Vol 22 (12) ◽

pp. 2364-2368 ◽

Cited By ~ 11

Author(s):

J. Rogado ◽

B. Obispo ◽

C. Pangua ◽

G. Serrano-Montero ◽

A. Martín Marino ◽

...

Keyword(s):

Risk Factors ◽

Cancer Patients ◽

Spanish Hospital ◽

Associated Risk Factors

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Assessing the incidence, epidemiological description and associated risk factors of breast cancer in western Amhara, Ethiopia

Breast Cancer Management ◽

10.2217/bmt-2020-0024 ◽

2020 ◽

pp. BMT47

Author(s):

Lijalem M Tesfaw ◽

Teshome A Teshale ◽

Essey K Muluneh

Keyword(s):

Breast Cancer ◽

Risk Factors ◽

Cancer Patients ◽

Rural Areas ◽

Urban Areas ◽

Stage Iv ◽

Healthcare Services ◽

Breast Cancer Patients ◽

Stage Iv Cancer ◽

Associated Risk Factors

Aim: This study aimed at assessing the incidence, epidemiological description and associated risk factors of breast cancer in western Amhara, Ethiopia. Patients & methods: A total of 128 breast cancer patients being treated at Feleget Hiwot Referral Hospital (Bahir Dar, Ethiopia) were subjects of the study. Investigators controlled data quality and employed the ordinal logistic regression model to identify the effect of factors. Results: Of the 128 breast cancer patients under study, 119 (93%) were females. Most of the patients, 67 (52.34%), had advanced stage (IV) cancer that reduced their chance to recover after treatment. Conclusion: Patients who received chemotherapy and surgery for breast cancer were likely to improve than patients who received only chemotherapy. As the stage of breast cancer increased, the likelihood of the patient’s status to be improved decreases. Patients from rural areas, where healthcare services are rarely available, were less likely to recover or improve as compared with those from urban areas.

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